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- Title
Damage control orthopaedics.
- Authors
Philipson, Mark R.; Parker, Paul J.
- Abstract
Damage control orthopaedics (DCO) describes a philosophy for the management of the patient with multiple bony injuries. The fundamental principles are that fractures and traumatic soft tissue injuries (the 'wound organ') should be stabilised promptly with the minimum physiological insult to the patient, and that initial surgery should be regarded as a staged part of the resuscitation process. This article discusses the history of DCO; the scientific basis behind DCO principles; patient selection for DCO; the principles of resuscitation in the multiply injured; the evidence for and against DCO; and possible future advances.
- Subjects
SOFT tissue injuries; ORTHOPEDICS; BONE fractures; PATIENTS; SURGERY
- Publication
Trauma, 2007, Vol 9, Issue 4, p245
- ISSN
1460-4086
- Publication type
Article
- DOI
10.1177/1460408607088042